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Related Concept Videos

Teeth01:15

Teeth

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The formation of teeth, also known as odontogenesis, is a complex process that begins in utero, around the sixth week of embryonic development. There are three stages to this process: the bud stage, the cap stage, and the bell stage.
In the bud stage, the tooth germ (an aggregation of cells) starts to form in the developing jawbone. During the cap stage, the tooth germ differentiates into enamel organ, dental papilla, and dental sac, which will later develop into the tooth's enamel, dentin...
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Cosmetic procedures in orthognathic surgery.

Pier Francesco Nocini1, Luigi Chiarini, Dario Bertossi

  • 1Chirurgia Maxillo Facciale e Odontostomatologia, Policlinico Borgo Roma, Verona, Italy.

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
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Orthognathic surgery corrects jaw alignment and improves facial aesthetics. Combining it with soft tissue procedures enhances cosmetic outcomes for patients seeking comprehensive facial rejuvenation.

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Area of Science:

  • Plastic Surgery
  • Orthodontics
  • Facial Aesthetics

Background:

  • Orthognathic surgery addresses functional and cosmetic concerns, but often requires complementary procedures for optimal facial harmony.
  • Patients undergoing orthognathic surgery benefit from a thorough evaluation for additional cosmetic improvements.
  • Soft tissue procedures offer versatile options, performable in-office and combinable with orthognathic interventions.

Observation:

  • Accurate clinical analysis and 3D planning are essential for identifying and prioritizing cosmetic soft tissue concerns.
  • Patient input is crucial in selecting treatment plans that integrate primary surgery with secondary cosmetic enhancements.
  • Systematic evaluation focuses on features contributing to an aged, tired, or disharmonious facial appearance.

Findings:

  • Simultaneous treatment of malocclusions and facial esthetic disharmonies yields superior results.
  • Post-surgical evaluation, including clinical exams and patient questionnaires, assesses treatment success and satisfaction.
  • Residual defects identified post-orthognathic surgery can be addressed with secondary cosmetic procedures after 6-12 months.

Implications:

  • Integrating orthognathic surgery with concurrent or staged cosmetic procedures maximizes patient satisfaction and aesthetic outcomes.
  • A comprehensive approach to facial aesthetics, combining skeletal and soft tissue interventions, is recommended.
  • Careful planning and staged execution of procedures ensure optimal functional and cosmetic results in orthognathic surgery patients.